ROSE-NAJAMA-OBET.

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 S1 is not heard clearly in a patient what is the condition? SATA

A. Heart failure
b. Mitral regurgitation?
c. Mitral Stenosis
1. A only
2. A, B, C
3. A ,B
4. C only

 A female pt. in a psychiatric ward states, "My sister is trying to kill me!"
What type of delusion?
a. reference
b. grandeur
c. persecution

 Which of the ff . pts. brought to ER would be classifi ed as "Urgent"?

a. a pt. w/ a fracture right femur
b. a pt. w/ tension pheumothorax
c. a pt. w/ skull fracture

 The ff . are recomended for cystic fi brosis except?

a. steam inhalation
b. postural drainage
c. chest physiotheraphy
d. deep breathing

 RhoGam is administered to
a. mother w/ spontaneous abortion
b. ABO incompatibility
c. negative indirect coombs

 2 weeks post-surgery, a pt. return to the clinic for his follow up check-up,
during assessment of the wound, the nurse knows that a characteristic of a
wound favorable for bacterial growth is
a. red, moist, beefy
b. non-approximated wound edges
c. eschar tissue

 You are caring for a client who is newly diagnosed with renal failure and has
recently started on peritoneal dialysis. During the infusion of the dialysate, the
client begins to complain of abdominal pain. Which action by the nurse is
appropriate?
a. Slow the infusion
b. Explain that the pain will subside after the fi rst few exchanges.

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 b. Explain that the pain will subside after the fi rst few exchanges.
c. Decrease the amount to be infused.
d. Stop the dialysis

 S1 is not heard clearly in a patient what is the condition? SATA

A. Heart failure
b. Mitral regurgitation?
c. Mitral Stenosis
1. A only
2. A, B, C
3. A ,B
4. C only

 Patient arrived in ER with severe burn and on shock. What would be the best
fl uids you could give?
a. 0.9 Sodium Chloride with 70% albumin solution
b. D5 LR – children PLR for adult
c. PNSS
d. D5 Water

 5 % Mafenide acetate – important consideration (Tx burn pt)

a. Neutropenia - eosinophilia
b. Liver function
c. Causes staining of linen

 16. A patient is on chemotherapy receiving Vincristine, you should know All is

correct except?
A. Frequent check for Uric acid level
B. Giving drugs on IV – alert IV site redness and swelling
C. BUN & Creatinine may rise up – kidney and liver (CBC)
D. Use soft brittle toothbrush - mouthsores

 What do you expect to be ordered for depressed patients?

A. SSRI
B. ECT
C. St. John’s wort

 Nursing responsibility in the 3rd stage of delivery, especially in the expulsion of

placenta
A. Mild fundal push
B. May occur up to 3 hours after infant delivery, wait patiently
C. Administer oxytocin, IV or IM as bolus – 10 units
D. Ask pt to bear down slightly

 30.Patient is neutropenic, nurse will monitor infection by

a.temp every 4 hrs
b.wbc count daily

 17. During breastfeeding, mother complaints of breast pains. The nurse tells
the mother that after pains are more painful due to secretion of?
a. oxytocin – responsible for squeezing milk (during)

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 a. oxytocin – responsible for squeezing milk (during)
b. prolactin – milk production (after)
c. estrogen
d. progesterone

 How much should you drink every day (Daily adult fl uid intak)?
1.5 L
2L
3L
5L

 8. What is not elevated in COPD – respiratory acidosis

a. O2 – administered ( hypercapnia respiration )
b. CO2 – retention (severe hypoxemia)

 16. Patient with Hyperkalemia, which is the best way to decrease the K
(potassium) level in the blood?
A. insulin
B. lasix pumps (K+ wasting)
C. kayexalate

 19. The patient for NSVD, what must be the lie of the fetus?
a. Linear
B. Transverse - across
C. Longitudinal – vertical ( cephalic / breach )
D. Oblique - diagonal

 Patient with chest tube tiddling: (fl uctuation normal)

A. Document the fi nding
B. Notify the physician – if leakage
C. Check for leakage – assessment the tubings

 Post-op in PACU unit, what initial signs of shock: (hypotension, cyanosis,

tachycardia, DOB)
A. Hypertension
B. Clam, pale skin
C. Bouncing pulse

 What is debridement ?
- Removing of dead damaged or infected tissue to improve the healing potential.
 What is atelectasis?
 –collapse lungs
 What is competence?
- Ability to do something successfully and efficiently - license
 Digoxin toxicity aff ects what electrolyte? (antidote DIGIFAB)
A. Sodium
B. Calcium
C. Potassium – hypoK+ risk for digoxin toxicity (Mg)
D. Chloride

 With no contraindication on postural drainage what will you fi rst?

a. Deep breathing

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  With no contraindication on postural drainage what will you fi rst?
a. Deep breathing
b. Cupping
c. Vibration -/percussion

 Mother ask the nurse what would be the eff ect of PKU to newborn:
A. Growth retardation
B. Mental Retardation

 Sterile urine specimen:

A. Catheterization
B. Clean the external genitalia then void

 Stoma on colostomy with blanch appearance indicates?.

a. irritation on gastric secretions
b. infection
c. poor oxygenation

 Transmission of Thypoid fever?

a. Water and food
b. Blood contact

 Hemophiliac patient. Normal?

a. PT combustion
b. PT
c. PTT

 Patient called the clinic complaining of UTI, what factors make the nurse to
recommend an appointment for her. SATA:
I. suprapubic tenderness
II. Pregnancy
III. Vaginal bleeding
a. I & II b. III & & II c. Only I

 Biphasic defi brillator. Initial amount joules?

a. 50
b. 80
c. 200 – 150 – 200 joules - AHA (biphasic)
d. 360 – monophasic

 Oral hypoglycemics (glypiride) when to administer?

a. After meals at each night
b. With meals
c. Early in the morning upon awakening
d. Three times a day everyday

 . A 12 year old child treated with tetracycline will manifest what side eff ects of
the medication?
A. Staining of the teeth
B. Renal failure

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  101. What is Cataract? - clouding
a. Crystalization of lens that may occur during birth, eye trauma, and aging
b. Blurring of visual fi eld and presence of fl oaters
c. Sudden episode of eye pain

 '50.Transmission precaution for pertussis – whooping cough

a. contact precaution
b. droplet precaution

 Which of the following patients is/are not allowed to received anticoagulant

therapy: SATA:
I. Open ulcerated wound - peptic ulcer
II. Recent childbirth - 48 hrs post partum
III. Recent cerebrovascular hemorrhage

 Patient visited at clinic BP-180/120? What is the priority expected outcome

with the visit?
a.Contact Physician b. Immediate Hospitalization c. prescription of nifedipine

 Patient is allergic to Penicillin, what medication to avoid?

a. Cephalosporin
b. Quinolones
c. Tetracycline

 In DM client, which drug would increase blood glucose?

A. diuretics
B. ACE
C. analgesics
D. stool softener

 Which of the following factors should be the primary focus of nursing

management in patient with acute pancreatitis?
A. pain control
B. nutrition management
C. management of hypoglycemia
D. Fluid and electrolyte balance

 Pre-operative checklist when to do?

a. upon admission
b. b before transferring to OR
c. pre- admission

 Patient on anticoagulant. Patient needs further teaching if?

a. use electric razor
b. check feet for bruising
c. states that dark color urine is normal

 Most common sign of fl uid volume defi cit?.

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  Most common sign of fl uid volume defi cit?.
a. thirst
b. dry skin
 c. dry lips and tongue

 n the fi rst 24 hours of life, appearance of yellowish skin discoloration noted,

what is the cause?
a. pathologic jaundice
b. Physiologic jaundice
c. immature liver

 All except one are true regarding the overdose of Pethidine? (naloxone antidote)
a. Hypotension
b. Respiratory depression
c. Pinpoint pupils
d. Tinnitus

 What is the diagnostic test to help diagnose Thalassemia?

a. PTT
b. Hemoglobin Electrophoresis - traits
c. CBC – 1st
d. PT

 Patient with pulmonary heart problem showing signs of short breath with pedal
edema and bluish discoloration on extremities?.
a. Cor pulmonale – condition that cause rt side of the heart to fail
b. Pulmonary edema

 nursing instruction in patient with a pacemaker

A. Report to physician if with frequent hiccups
B. Avoid exposure to microwave

 patient 9 yr old how to assess pain rating scale?

a. face rating scale b. numerical rating scale c. verbal rating scale

"Success is the sum of small efforts, repeated day-in and day-out." Robert Collier

Thank you and God/Allah bless us all!:)

To God/Allah be the Glory!:)

Date of exam: February 4,2015

NAJAMA, HAAD,RN (computer #11)

ROSE, HAAD,RN (computer #10)
OBET, HAAD,RN(computer#12)

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